Hristamyan-Cilev Meri A, Pechalova Petya P, Raycheva Ralitsa D, Hristamyan Veselka P, Kevorkyan Ani K, Stoilova Yordanka D
Department of Epidemiology and Disaster Medicine, Faculty of Public Health, Medical University of Plovdiv, Plovdiv, Bulgaria.
Department of Oral Surgery, Faculty of Dental Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria.
Folia Med (Plovdiv). 2019 Jun 1;61(2):303-311. doi: 10.2478/folmed-2018-0075.
Bisphosphonate-associated osteonecrosis of the jaws (BAONJ) is a side effect of treatment with bisphosphonate (BP). Reports of this complication have increased recently.
To evaluate the level of knowledge of dentists from Plovdiv, Bulgaria, about possible complications of bisphosphonate therapy of patients in dental practice.
Three hundred and twenty-three dental practitioners from Plovdiv, Bulgaria, took part in an anonymous survey containing 25 questions, designed to evaluate the knowledge of dentists about the complications of BP therapy.
Oral and maxillofacial surgeons have the best knowledge about the indications and side effects of BP therapy, while dentists with a specialty in Pediatric Dentistry and General Dentistry have insufficient knowledge. Of the respondents, 17.03% are absolutely uninformed about BP and their side effects, and 1/2 declare that they have never had a patient with complications from BP therapy in their practice, probably due to a lack of awareness of the problem. Approximately half of the dentists we surveyed agree to carry out prophylactic examinations of patients receiving BP and know what the prophylactic examination includes. Only 15.48% of the respondents have correctly responded that in order to be treated as clinically healthy, patients should have stopped taking BP for more than 10 years.
With the exception of specialists in Oral and Maxillofacial Surgery, dental practitioners in Plovdiv and the region are poorly informed about the complications associated with BP therapy. Therefore, efforts must be made to make these dentists better informed about BAONJ, especially about the methods and means of preventing this condition.
双膦酸盐相关颌骨坏死（BAONJ）是双膦酸盐（BP）治疗的一种副作用。近期关于这种并发症的报道有所增加。
评估保加利亚普罗夫迪夫市牙医对牙科实践中双膦酸盐治疗患者可能出现的并发症的了解程度。
来自保加利亚普罗夫迪夫市的323名牙科从业者参与了一项包含25个问题的匿名调查，该调查旨在评估牙医对双膦酸盐治疗并发症的了解情况。
口腔颌面外科医生对双膦酸盐治疗的适应症和副作用了解程度最佳，而儿童牙科和普通牙科专业的牙医了解不足。在受访者中，17.03%对双膦酸盐及其副作用完全不了解，并且有一半人称他们在实践中从未遇到过接受双膦酸盐治疗出现并发症的患者，这可能是由于对该问题缺乏认识。我们调查的牙医中约有一半同意对接受双膦酸盐治疗的患者进行预防性检查，并且知道预防性检查包括哪些内容。只有15.48%的受访者正确回答出，为被视为临床健康，患者应停止服用双膦酸盐超过10年。
除口腔颌面外科专家外，普罗夫迪夫市及该地区的牙科从业者对与双膦酸盐治疗相关的并发症了解甚少。因此，必须努力让这些牙医更好地了解双膦酸盐相关颌骨坏死，特别是关于预防这种病症的方法和手段。
